Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02362 | Date 05/12/2018 |
| Token No | SM/18-19/6463 08/01/2019 | Serial | 017 Last Visit: 29/01/2022 |
| Patient Name | Mr. HARADHAN DAS | Contact No | 8820072220 |
| Address | 1 GOVT.COLONY,SERAMPORE | Age | 70 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||